The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study

Objective The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representa...

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Authors: Koyanagi, Ai, Moneta, Maria Victoria, Garin, Noe, Olaya, Beatriz, Ayuso Mateos, José Luis, Chatterji, Somnath, Leonardi, Matilde A., Sainio, Päivi, Galas, Aleksander, Haro, Josep Maria
Format: article
Publication Date:2015
Country:España
Institution:Universidad Autónoma de Madrid
Repository:Biblos-e Archivo. Repositorio Institucional de la UAM
Language:English
OAI Identifier:oai:repositorio.uam.es:10486/671435
Online Access:http://hdl.handle.net/10486/671435
https://dx.doi.org/10.1136/bmjopen-2014- 007313
Access Level:Open access
Keyword:Obesity
Disability
Low-income countries
Medicina
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dc.title.none.fl_str_mv The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
title The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
spellingShingle The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
Koyanagi, Ai
Obesity
Disability
Low-income countries
Medicina
title_short The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
title_full The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
title_fullStr The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
title_full_unstemmed The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
title_sort The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional study
dc.creator.none.fl_str_mv Koyanagi, Ai
Moneta, Maria Victoria
Garin, Noe
Olaya, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde A.
Sainio, Päivi
Galas, Aleksander
Haro, Josep Maria
author Koyanagi, Ai
author_facet Koyanagi, Ai
Moneta, Maria Victoria
Garin, Noe
Olaya, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde A.
Sainio, Päivi
Galas, Aleksander
Haro, Josep Maria
author_role author
author2 Moneta, Maria Victoria
Garin, Noe
Olaya, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde A.
Sainio, Päivi
Galas, Aleksander
Haro, Josep Maria
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Departamento de Psiquiatría
Facultad de Medicina
Instituto de Investigación del Hospital de La Princesa (IP)
dc.subject.none.fl_str_mv Obesity
Disability
Low-income countries
Medicina
topic Obesity
Disability
Low-income countries
Medicina
description Objective The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representative data from the Collaborative Research on Ageing in Europe (COURAGE) study and the WHO's Study on global AGEing and Adult Health (SAGE). Design Population-based cross-sectional study Setting The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. Participants 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. Primary outcome measure Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). Results The mean body mass index (BMI) ranged from 20.4 kg/m2 in India to 30.7 kg/m2 in South Africa. Compared to normal BMI (18.5–24.9 kg/m2), BMI≥35 kg/m2 was associated with significantly higher odds for ADL disability in Finland (OR 4.64), Poland (OR 2.77), South Africa (OR 2.19) and Spain (OR 2.42). Interaction analysis showed that obese individuals in high-income countries were more likely to have ADL limitations than those in low-income or middle-income countries. Conclusions The higher odds for disability among obese individuals in high-income countries may imply longer life lived with disability due to factors such as the decline in cardiovascular disease mortality. In South Africa, this may have been due to the exceptionally high prevalence of class III obesity. These findings underscore the importance of obesity prevention to reduce the disability burden among older adults
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/671435
https://dx.doi.org/10.1136/bmjopen-2014- 007313
url http://hdl.handle.net/10486/671435
https://dx.doi.org/10.1136/bmjopen-2014- 007313
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission http://dx.doi.org/10.13039/501100000780 Framework Programme Seven 223071
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group:
publisher.none.fl_str_mv BMJ Publishing Group:
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: A cross-sectional studyKoyanagi, AiMoneta, Maria VictoriaGarin, NoeOlaya, BeatrizAyuso Mateos, José LuisChatterji, SomnathLeonardi, Matilde A.Sainio, PäiviGalas, AleksanderHaro, Josep MariaObesityDisabilityLow-income countriesMedicinaObjective The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representative data from the Collaborative Research on Ageing in Europe (COURAGE) study and the WHO's Study on global AGEing and Adult Health (SAGE). Design Population-based cross-sectional study Setting The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. Participants 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. Primary outcome measure Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). Results The mean body mass index (BMI) ranged from 20.4 kg/m2 in India to 30.7 kg/m2 in South Africa. Compared to normal BMI (18.5–24.9 kg/m2), BMI≥35 kg/m2 was associated with significantly higher odds for ADL disability in Finland (OR 4.64), Poland (OR 2.77), South Africa (OR 2.19) and Spain (OR 2.42). Interaction analysis showed that obese individuals in high-income countries were more likely to have ADL limitations than those in low-income or middle-income countries. Conclusions The higher odds for disability among obese individuals in high-income countries may imply longer life lived with disability due to factors such as the decline in cardiovascular disease mortality. In South Africa, this may have been due to the exceptionally high prevalence of class III obesity. These findings underscore the importance of obesity prevention to reduce the disability burden among older adultsAK’s work was supported by the Miguel Servet contract financed by the CP13/00150 project, integrated into the National R+D+I and funded by the ISCIII—General Branch Evaluation and Promotion of Health Research—and the European Regional Development Fund (ERDF-FEDER). BO’s work was supported by the Sara Borrell postdoctoral programme (reference no. CD12/ 00429) from Instituto de Salud Carlos III (Spain). WHO’s Study on global AGEing and adult health is supported by the USA National Institute on Aging’s Division of Behavioral and Social Research through Interagency Agreements (OGHA 04034785; YA1323-08-CN-0020; Y1-AG-1005-01) and through research grants (R01-AG034479 and R21-AG034263) and the WHO’s Department of Health Statistics and Information Systems. The research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/2007–2013) under grant agreement number 223071 (COURAGE in Europe), from the Instituto de Salud Carlos III-FIS research grants number PS09/00295 and PS09/01845 and from the Spanish Ministry of Science and Innovation ACI-Promociona (ACI2009-1010). The study was also supported by the Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos IIIBMJ Publishing Group:Departamento de PsiquiatríaFacultad de MedicinaInstituto de Investigación del Hospital de La Princesa (IP)20152015-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/671435https://dx.doi.org/10.1136/bmjopen-2014- 007313reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengEuropean Commission http://dx.doi.org/10.13039/501100000780 Framework Programme Seven 223071open accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6714352026-06-23T12:46:27Z
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